Director, Medical Economics Actuarial | Dallas, Texas, United States

About the Role

Hi, we're Oscar. We're hiring a Director, Medical Economics to join our Medical Economics team. Oscar is the first health insurance company built around a full-stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

The Director, Medical Economics plays an instrumental role in Oscar's medical economics operating model. You will be the lead architect and developer of our next generation of analytic tools and will personally develop a unified reporting suite that provides transparent, relevant insights into medical cost and utilization drivers. The role is hands-on and requires close collaboration with leaders across the Medical Economics team to incorporate their analytic content into the reporting suite. You will lead the department's engagement with partners in the data science team to deliver the foundational datasets and infrastructure upon which the reporting suite will be built. You will report to the Senior Director, Medical Cost Analytics.

Work Location

This is a remote position, open to candidates who reside in Dallas, TX. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.

Pay Transparency

The base pay for this role is : $172,800 – $226,800 per year. Eligible employees also receive benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses.

Responsibilities

• Perform hands-on development while providing direction, guidance, and requirements to supporting matrixed resources from other analytic and tech teams.
• Oversee decision-making responsibilities related to the technical design of a unified suite of medical economics reporting and analytic tooling that will lead Oscar's Total Cost of Care (TCoC) efforts.
• Partner with Medical Economics leaders to create a multi-year roadmap for the tooling suite, including creation of a governance process for designing content and analytic methodologies.
• Develop automated dashboards and reports that decompose medical cost trends, highlighting important causes such as unit cost, utilization, mix of services, provider network changes.
• Serve as the subject matter expert on Oscar's medical claims data and incorporate key healthcare methodologies (e.g., risk adjustment, episode groupers, case-mix adjustment) into the tooling suite.
• Ensure the tooling suite is designed to include generative AI for insight generation.
• Act as the internal consultant, introducing and applying techniques (e.g., predictive modeling, statistical analysis, machine learning) to enhance the sophistication and predictive power of our tooling suite.

Be the senior mentor and technical guide for analysts across the medical economics team, elevating the team's skills by promoting best practices in analytics and BI development.

Qualifications

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care – an experience made whole by our unique backgrounds and perspectives.

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